Quote Form CKC / CKX 1U Rugged RackMount Keyboard

Rackmount LCDs & Keyboards

Name *
Job Function (Title)
Company
Division
Address1
Address2
City			State Zip
Country
Phone *			Ext
Email *
Product Interest [Multiple Selection Allowed]	CKC-A 1U Industrial (Track Ball, PS/2, Not Sealed) CKC-B 1U Industrial (Track Ball, USB, Not Sealed) CKC-C 1U Industrial (Touch Pad, PS/2, Not Sealed) CKC-D 1U Industrial (Touch Pad, USB, Not Sealed) CKX-AP 1U Mil Grade (Track Ball, PS/2, NEMA4 Sealed) CKX-BU 1U Mil Grade (Track Ball, USB, NEMA4 Sealed)
Program Name
Application	Please provide some insight into the application.
Quantities to Quote
Requested Lead Time
Rack Depth Limitation
Weight Limitation
Transit Case	No Yes
Environmental Requirements		Operating		Non-Operating
Temperature
Humidity
Salt Fog		Yes No
Altitude
Agency Approvals	Please list any agency approvals such as UL, CSA, TUV, CE or Mil-Spec 901, 187 810, NEBS, etc., that are required.
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RUGGEDIZED 1U RUGGED RACKMOUNT KEYBOARD | MILITARY GRADE KEYBOARD DRAWER